School of Clinical Medicine, Shandong Second Medical University, Weifang, China.
Department of Urology Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, China.
Medicine (Baltimore). 2024 Nov 29;103(48):e40757. doi: 10.1097/MD.0000000000040757.
Spermatic cord myxomas are rare benign tumors, typically characterized by the production of mucopolysaccharides. These tumors are infrequently found in the urinary system, making this case noteworthy.
A 55-year-old male presented with a painless swelling on the right side of his scrotum, which had persisted for over 3 months. There were no associated symptoms, and the patient had no significant medical history.
Initial diagnostic workup included physical examination, ultrasonography, and CT scans, which revealed a 2 cm cystic nodule near the right spermatic vein. Postoperative histopathology confirmed the diagnosis of myxoma.
The patient underwent laparoscopic high ligation of the left spermatic vein and excision of the right spermatic sheath cyst. The surgery was successful, with the cyst being completely removed.
Postoperative recovery was uneventful, and histopathological examination confirmed the benign nature of the tumor. Follow-up was advised to monitor for any recurrence.
Although rare, spermatic cord myxomas should be considered in the differential diagnosis of scrotal masses. Surgical excision is both diagnostic and therapeutic, providing a favorable prognosis with minimal risk of recurrence.
精索黏液瘤是一种罕见的良性肿瘤，其特征通常为黏多糖的产生。这些肿瘤在泌尿系统中很少见，因此该病例值得注意。
一名 55 岁男性因右侧阴囊无痛性肿胀就诊，该症状已持续超过 3 个月。无相关症状，患者无重大既往病史。
初步诊断检查包括体格检查、超声检查和 CT 扫描，结果显示右侧精索静脉附近有一个 2cm 的囊性结节。术后组织病理学检查证实为黏液瘤。
患者接受了腹腔镜左侧精索静脉高位结扎和右侧精索鞘膜囊肿切除术。手术成功，囊肿被完全切除。
术后恢复顺利，组织病理学检查证实肿瘤为良性。建议进行随访以监测任何复发情况。
尽管罕见，但在阴囊肿块的鉴别诊断中应考虑精索黏液瘤。手术切除既是诊断性的，也是治疗性的，具有良好的预后，复发风险极小。
